Cargando…

Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy

BACKGROUND: Infertility, as one of the most common gynecological disorders, affects many people worldwide. To choose the clinical treatment, correct assessment of tubal patency can provide an important clue; therefore, it is considered as one of the major steps in workup examinations of infertile wo...

Descripción completa

Detalles Bibliográficos
Autores principales: Mardanian, Farahnaz, Rouholamin, Safoura, Nazemi, Maryam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036783/
https://www.ncbi.nlm.nih.gov/pubmed/30050889
http://dx.doi.org/10.4103/abr.abr_71_17
_version_ 1783338222038810624
author Mardanian, Farahnaz
Rouholamin, Safoura
Nazemi, Maryam
author_facet Mardanian, Farahnaz
Rouholamin, Safoura
Nazemi, Maryam
author_sort Mardanian, Farahnaz
collection PubMed
description BACKGROUND: Infertility, as one of the most common gynecological disorders, affects many people worldwide. To choose the clinical treatment, correct assessment of tubal patency can provide an important clue; therefore, it is considered as one of the major steps in workup examinations of infertile women. In this study, we aimed to compare the results of transvaginal ultrasonography (TVS) after hysteroscopy (HSC) with laparoscopy, as a gold standard, for assessing the fallopian tubal patency in infertile women. MATERIALS AND METHODS: This is a cross-sectional study which included 49 infertile women referred to Shahid Beheshti Hospital affiliated with Isfahan University of Medical Sciences during the years 2015 and 2016. At first, patients who met the inclusion criteria were examined through HSC in by a specialist in gynecology and obstetrics in operating room because laparoscopy was performed after TVS with HSC, but HSC was performed without anesthesia. TVS was performed before and after of HSC to observe fluid in the pouch of Douglas. The findings of TVS with HSC and laparoscopy were compared. RESULTS: There was a strong agreement between TVS after HSC and laparoscopy (kappa coefficient = 0.935, 95% confidence interval [CI]: 0.81, 1.00). The sensitivity of TVS after HSC was 100% (95% CI: 66.37, 100) and specificity was 97.50% (95% CI: 86.84, 99.94) with a positive predictive value of 90% (95% CI: 55.50, 99.75) and negative predictive value of 100% (95% CI: 90.97, 100). CONCLUSION: TVS after HSC is an accurate diagnostic tool for examination of fallopian tubal patency in infertile women.
format Online
Article
Text
id pubmed-6036783
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-60367832018-07-26 Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy Mardanian, Farahnaz Rouholamin, Safoura Nazemi, Maryam Adv Biomed Res Original Article BACKGROUND: Infertility, as one of the most common gynecological disorders, affects many people worldwide. To choose the clinical treatment, correct assessment of tubal patency can provide an important clue; therefore, it is considered as one of the major steps in workup examinations of infertile women. In this study, we aimed to compare the results of transvaginal ultrasonography (TVS) after hysteroscopy (HSC) with laparoscopy, as a gold standard, for assessing the fallopian tubal patency in infertile women. MATERIALS AND METHODS: This is a cross-sectional study which included 49 infertile women referred to Shahid Beheshti Hospital affiliated with Isfahan University of Medical Sciences during the years 2015 and 2016. At first, patients who met the inclusion criteria were examined through HSC in by a specialist in gynecology and obstetrics in operating room because laparoscopy was performed after TVS with HSC, but HSC was performed without anesthesia. TVS was performed before and after of HSC to observe fluid in the pouch of Douglas. The findings of TVS with HSC and laparoscopy were compared. RESULTS: There was a strong agreement between TVS after HSC and laparoscopy (kappa coefficient = 0.935, 95% confidence interval [CI]: 0.81, 1.00). The sensitivity of TVS after HSC was 100% (95% CI: 66.37, 100) and specificity was 97.50% (95% CI: 86.84, 99.94) with a positive predictive value of 90% (95% CI: 55.50, 99.75) and negative predictive value of 100% (95% CI: 90.97, 100). CONCLUSION: TVS after HSC is an accurate diagnostic tool for examination of fallopian tubal patency in infertile women. Medknow Publications & Media Pvt Ltd 2018-06-25 /pmc/articles/PMC6036783/ /pubmed/30050889 http://dx.doi.org/10.4103/abr.abr_71_17 Text en Copyright: © 2018 Advanced Biomedical Research http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Mardanian, Farahnaz
Rouholamin, Safoura
Nazemi, Maryam
Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy
title Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy
title_full Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy
title_fullStr Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy
title_full_unstemmed Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy
title_short Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy
title_sort evaluation of efficacy of transvaginal sonography with hysteroscopy for assessment of tubal patency in infertile women regarding diagnostic laparoscopy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036783/
https://www.ncbi.nlm.nih.gov/pubmed/30050889
http://dx.doi.org/10.4103/abr.abr_71_17
work_keys_str_mv AT mardanianfarahnaz evaluationofefficacyoftransvaginalsonographywithhysteroscopyforassessmentoftubalpatencyininfertilewomenregardingdiagnosticlaparoscopy
AT rouholaminsafoura evaluationofefficacyoftransvaginalsonographywithhysteroscopyforassessmentoftubalpatencyininfertilewomenregardingdiagnosticlaparoscopy
AT nazemimaryam evaluationofefficacyoftransvaginalsonographywithhysteroscopyforassessmentoftubalpatencyininfertilewomenregardingdiagnosticlaparoscopy